Bennett, John Charles

Bennett, John Charles is an individual health care provider with primary practice located at 425 W 3Rd Ave Suite 410, Albany GA 31701-1941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bennett, John Charles can be contacted via phone (229) 312-0707.

Contact Information

Primary practice address
425 W 3Rd Ave Suite 410 Albany GA 31701-1941
Phone: (229) 312-0707
Fax: (229) 312-0705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 057581 Georgia

Profile Details

NPI number 1164470761
LBN Legal business name Bennett, John Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Feb 8th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164470761 NPPES
Georgia Other 057581 STATE MEDICAL LICENSE
Georgia MEDICAID 182727627D STATE MEDICAL LICENSE

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